The following chart shows our preauthorization lists for your reference.
Preauthorization Lists
List |
Description |
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This list applies to ConnectiCare’s members with commercial benefit plans. It contains notification/preauthorization requirements for inpatient and outpatient services. Updates to this list will be communicated through the Revision History sections and the provider newsletters. Note: Some services may be benefit exclusions for some of our ConnectiCare Plans. Please verify member eligibility and benefits. |
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Use this list to see the drugs that are associated with the member’s medical benefit. |
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Use this list to see drugs that must meet clinical criteria in order to be covered under the member’s medical or pharmacy benefit. |
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